Patient Management And Delegation Essay

Patient Management And Delegation Essay

Patient management is an essential aspect of healthcare delivery that entails organizing and coordinating various medical activities to provide the best potential patient outcomes. Healthcare professionals such as physicians, nurses, pharmacists, and other allied health workers must work together efficiently to achieve this. Delegation is essential to patient management since it allows healthcare providers to delegate specific tasks and duties to other trained personnel to offer efficient and effective patient care. Delegation entails giving enough resources, support, and instruction to individuals tasked with completing the work successfully (Barrow & Sharma, 2022). Nurses, in particular, play an essential role in patient management and must be skilled at delegation. I analyzed my performance as a nurse in charge during the simulation by examining my responsibilities, decision-making abilities, strengths, and limitations. This paper will examine a nurse charge’s roles and responsibilities in patient management and delegation.

Roles and Responsibilities as a Nurse Charge

The primary task was to examine the acuity levels to determine the severity of the patient’s condition. This evaluation primarily relied on the patient’s clinical situation. Based on my assessment, I classified patients as having high, medium, or low acuity. Patients with high acuity had complex and urgent medical demands that necessitated regular monitoring, interventions, and additional resources. Those with medium acuity require constant medical monitoring, whereas patients with low acuity were clinically stable and showed no evidence of life-threatening illnesses (Juvé‐Udina et al., 2020). As a result, compared to individuals with high acuity, these patients may obtain therapy later. I worked with the healthcare team to establish appropriate care plans for each patient based on acuity level, ensuring that resources and staff were allocated effectively to deliver the best care possible.

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My second responsibility involved managing the intervention process, which entailed matching patients’ needs with appropriate resources. I relied on a combination of acuity levels and the nurses’ experience level to do this. High-acuity patients required more experienced nurses, but I also had to balance the workload to avoid burnout. It was essential to ensure that nurses could handle the number of patients they cared for, as even a single high-acuity patient could be too demanding for a nurse intern. In my third role, I focused on supplementing the nursing staff by delegating tasks to other team members. This helped to relieve the workload and increase overall effectiveness.

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The charge nurse manages patient care by assessing acuity, developing care plans, allocating resources and staff, coordinating interventions, balancing workload, and delegating tasks to other team members. The responsibilities of the charge nurse are critical in ensuring that patients receive the best possible care and that the nursing team is supported and able to fulfill their tasks efficiently.

Evaluating My Decisions in the Activity

During the simulation activity, I excelled at assessing patients’ acuity levels. My proficiency in case management provided me with a broader comprehension of the patient’s clinical condition. As a result, I could distinguish between life-threatening situations and those that could wait. This ability is paramount in prioritizing nursing activities and will be beneficial in my future role as a nurse in charge. I require additional expertise and hands-on experience in effectively connecting patients with appropriate resources. As such, I must review the delegation process. According to Crevacore et al. (2022), effective delegation involves ensuring that the individual receiving the task has adequate resources, support, and guidance to complete the task successfully. Delegation is essential for nurses who play a crucial role in patient management.

Application in Practice

The roles and responsibilities of the charge nurse in patient management and delegation apply to nurses in all healthcare settings. Nurses must be adept at assessing patients’ acuity levels, developing appropriate care plans, allocating resources and staff, coordinating interventions, balancing workload, and delegating tasks to other healthcare providers to ensure patient safety and optimize care results. Nursing delegation is a complex process that requires careful consideration of various factors, such as the task’s complexity, the delegated individual’s skills and qualifications, the patient’s condition and needs, and legal and ethical considerations (Barrow & Sharma, 2022). These are critical abilities that nurses must learn in order to manage patient care effectively.

Conclusion

Patient management and delegation are essential aspects of healthcare delivery that require nurses to understand a charge nurse’s roles and responsibilities comprehensively. This includes assessing acuity levels, developing care plans, allocating resources and staff, coordinating interventions, balancing workloads, and delegating tasks to other healthcare providers. Nurses must also be proficient in the delegation, as effective delegation requires knowledge of the task, the individual delegated, and any legal and ethical considerations. With the proper knowledge, training, and experience, nurses can effectively manage patient care and ensure optimal patient outcomes.

Reference

Barrow, J. M., & Sharma, S. (2022, July 25). Nursing five rights of delegation. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK519519/

Crevacore, C., Jacob, E., Coventry, L. L., & Duffield, C. (2022). The integrative review: Factors impacting effective delegation practices by registered nurses to assistants in nursing. Journal of Advanced Nursing. https://doi.org/10.1111/jan.15430

Juvé‐Udina, M., González‐Samartino, M., López‐Jiménez, M. M., Planas‐Canals, M., Rodríguez‐Fernández, H., Batuecas Duelt, I. J., Tapia‐Pérez, M., Pons Prat, M., Jiménez‐Martínez, E., Barberà Llorca, M. À., Asensio‐Flores, S., Berbis‐Morelló, C., Zuriguel‐Pérez, E., Delgado‐Hito, P., Rey Luque, Ó., Zabalegui, A., Fabrellas, N., & Adamuz, J. (2020). Acuity, nurse staffing, and workforce missed care and patient outcomes. A cluster‐unit‐level descriptive comparison. Journal of Nursing Management, 28(8). https://doi.org/10.1111/jonm.13040

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Activity 7
Patient Management and Delegation
Complete the Patient Management & Delegation virtual simulation activity which can be found by clicking Enter Virtual Simulation. Then debrief on the experience by creating a VoiceThread, video or a written essay.

Once you enter Sentinel Hospital
1. Click BEGIN
2. You’ll enter the lobby and be led to the hospital map
3. Clicking SKIP will take you directly to map
4. Select Location: Medical/Surgical or SIMPath Competencies: Management and Leadership OR Evidence-Based Practice OR Collaboration for Improving Outcomes
• Reflect on your feelings while fulling the role of the charge nurse in the simulated activities on delegation and caseload management. Consider how you utilized the experience and efficiency information provided.
• Summarize the responsibilities, including planning, coordinating and evaluation of nursing resources, managed by the charge nurse in the simulated activity.
• Reflect on any correct and incorrect decisions and responses that you would change if you were to repeat this activity.
• Describe what you learned in this experience that will be incorporated into your clinical practice.
Reading and Resources
• Review chapters 17, 19, 20 21 & 25 in Marquis, B. L., & Huston, C. J. (2021). Leadership roles and management functions in nursing: Theory and application. Philadelphia, PA: Wolters Kluwer.
• Hill, K.S., Higdon, K, Porter B.W., Rutland, M.D. & Vela, D.K. (2015). Preserving staffing resources as a system: Nurses leading operations and efficiency initiatives. Nursing Economics, 33(1):26-35.
• Plonien, C. (2015). Perioperative leadership. Using personality indicators to enhance nurse leader communication. AORN Journal, 102(1), 74-80. doi:10.1016/j.aorn.2015.05.001
• Shimp, K. M. (2017). Systematic review of turnover/retention and staff perception of staffing and resource adequacy related to staffing. Nursing Economics, 35(5), 239-258,266A. Retrieved from https://search.proquest.com/docview/1954857855?accountid=169658
• Optional Video: Optional: Dan Pink – The puzzle of motivation

Additional Instructions:
1. All submissions should have a title page and reference page.
2. Utilize a minimum of two scholarly resources.
3. Adhere to grammar, spelling and punctuation criteria.
4. Adhere to APA compliance guidelines.
5. Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Options
Choose One: Instructions:
Paper • 3 page paper. Include title and reference pages.

Management and Leadership- Patient Management and Delegation
Description: The baccalaureate-graduate nurse will examine the roles of nurse managers in providing patient safety.
Course Competencies: 1) Compare and contrast effective communication techniques and conflict management styles related to nursing management of individuals and groups. 4) Develop a personal “toolkit” based on best practice evidence for managing workplace issues such as change initiatives, conflict and discrimination. 5) Assess various staffing methodologies/models related to building an effective health care team.
QSEN Competencies: 1) Patient-Centered Care 2) Teamwork and Collaboration
BSN Essential II
Area Gold Mastery Silver Proficient Bronze Acceptable Acceptable Mastery not Demonstrated
Experience Synthesizes the experience as the charge nurse related to delegation and caseload management. Describes feelings experienced as the charge nurse related to delegation and caseload management. List feelings experienced as the charge nurse related to delegation or caseload management. Does not meet expectations.
Summarize Summarizes the change nurse responsibilities. Discusses two charge nurse responsibilities Names three or details one charge nurse responsibility. Does not meet expectations.
Reflection Reflects on correct and incorrect decisions and responses; considers changes to make if repeating module Reflects on correct and incorrect decisions and responses OR considers changes to make if repeating module Briefly lists correct and incorrect decisions and responses OR lists changes to make if repeating module Does not meet expectations.
Application to Practice Discusses how 3 or more experiences can be applied to

practice.

Discusses how 2 of the experiences can be applied to

practice.

Discusses how 1 of the experiences can be applied to

practice.

Does not meet expectations.
APA, Grammar, Spelling, and Punctuation No errors in APA, Spelling, and Punctuation. One to three errors in APA, Spelling, and Punctuation. Four to six errors in APA, Spelling, and Punctuation. Seven or more errors in APA, Spelling, and Punctuation.
References Provides two or more references. Provides two references. Provides one references. Provides no references.

 

 

 

 

 

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